妊娠高血压性心脏病终止妊娠的临床分析

目的：研究妊娠高血压性心脏病终止妊娠的时机、方式及结局对孕妇及围生儿的影响。方法：对2008-2009年47例妊娠高血压性心脏病患者的临床资料进行回顾性分析。观察剖宫产与阴道分娩、孕周时间长短、心衰控制对孕妇及围生儿预后的差异。结果：剖宫产组新生儿窒息率明显低于阴道分娩组（P〈0.05），孕周长和孕周短低体重儿出生率差异有统计学意义（P〈0.05）。结论：对于妊娠期高血压性心脏病患者应积极控制心衰，采取合适的方式适时终止妊娠。

Clinical analysis of hypertensive heart disease termination of pregnancy

Objective： To study the efects of pregnancy-induced hypertension heart disease termination of pregnancy timing, manner and outcome of pregnant women and perinatal effects. Methods： 47 cases of patients with pregnancy-induced hypertension heart disease from 2008 to 2009 were analyzed retrospectively. Gestational duration, heart failure and control pregnant women and perinatal prognosis were observed in the cesarean section group and vaginal delivery group. Results： The rate of neonatal asphyxia of the cesarean section group was lower than that of vaginal delivery group （P〈0.05）, there was a significant difference in the children low birth weight of gestation length and short （P〈0.05）. Conclusion： Pregnancy in patients with hypertensive heart disease should be actively controlled heart failure and take appropriate way of timely termination of pregnancy.